| NPI | 1396920765 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164004400) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 48006889) | 
| Enumeration Date | 2008-01-04 | 
| Last Update Date | 2016-06-21 |