| NPI | 1679766968 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.003875)  | 
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IL 164.003875)  | 
| Enumeration Date | 2007-08-21 | 
| Last Update Date | 2007-08-21 |