| NPI | 1104290683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164007673) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD7860) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-07-03 |