| NPI | 1154653517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006648) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 854319) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2013-08-20 |