| NPI | 1679988810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2004020871) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.003871) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |