| NPI | 1275040818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT84558) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.007313) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |