| NPI | 1396574463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.010248) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.10090) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-11-07 |