| NPI | 1255924379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2012032816) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006990) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |