| NPI | 1063798775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 676183) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT03932) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |