NPI | 1124723671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4966) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.007704) |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-10-25 |