| NPI | 1780969899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 881783) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005280) |
| 133V00000X Dietitian, Registered (Licence: NY 006946) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |