| NPI | 1285177790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 722062) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 1320) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |