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 |