| NPI | 1417366980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007783-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 954661) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |