| NPI | 1972738268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2005002428) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.004922) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |