| NPI | 1649805391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2001031900) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 1665) |
| 133V00000X Dietitian, Registered (Licence: IL 164007025) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |