| NPI | 1487096053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1015260) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 006931) |
| 133V00000X Dietitian, Registered (Licence: IL 164.005182) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |