| NPI | 1730731274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.006964) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND9351) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-03-08 |