| NPI | 1053198259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ND 1117) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006411) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |