| NPI | 1063284925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND11771) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.008790) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-12-18 |