| NPI | 1093966681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.008585) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 5058) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-08-16 |