NPI | 1235393968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2004027853) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.001367) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2008-07-11 |