| NPI | 1477542546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80115) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 017605) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |