| NPI | 1427417740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 01515) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006312) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |