| NPI | 1104158914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 008509) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 874048) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2024-03-26 |