| NPI | 1336813864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 01117) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.007110) |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2021-08-07 |