| NPI | 1992319941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2019040210) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006443) |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2021-07-20 |