| NPI | 1790136026 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 0918816) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006834) | 
| Enumeration Date | 2016-06-28 | 
| Last Update Date | 2023-12-26 |