| NPI | 1215211818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 164003784) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164003784) |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2016-02-04 |