| NPI | 1013257351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83045) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005845) |
| Enumeration Date | 2013-02-24 |
| Last Update Date | 2015-05-29 |