| NPI | 1265297006 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT87453) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.010837) | 
| Enumeration Date | 2024-02-20 | 
| Last Update Date | 2025-09-28 |