| NPI | 1144048570 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164009291) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 164009291) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 164009291) | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |