| NPI | 1063517530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 1059604901) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 0992-078 CDE) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-04-24 |