| NPI | 1942653209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3819) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006084) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2018-03-17 |