NPI | 1619506995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.008039) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 5034-NU-NU) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2021-04-07 |