| NPI | 1851588115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 714381) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 1286029) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |