| NPI | 1013357326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2856) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.005603) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-08-29 |