NPI | 1508503657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 1014471) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT80758) |
Enumeration Date | 2022-05-18 |
Last Update Date | 2022-05-18 |