| NPI | 1235682154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 099262) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006875) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2021-03-13 |