| NPI | 1801165360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT02175) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 585147) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 09610512) | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |