NPI | 1154838530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.007078) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2017004357) |
Enumeration Date | 2018-01-06 |
Last Update Date | 2018-07-31 |