| NPI | 1528368529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 718281) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 002374-1) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |