| NPI | 1790114874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 892292) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005265) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |