| NPI | 1386020774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT85824) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 1007678) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2021-12-14 |