| NPI | 1164930368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2019038068) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164007260) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2020-01-29 |