| NPI | 1689250953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.007063) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L006355) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |