| NPI | 1154347060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1772) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 853413) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-09 |