| 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 |