| NPI | 1043458938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164004632) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164004632) |
| 261QR1100X Clinic/Center, Research (Licence: IL 164004632) | |
| 283Q00000X Psychiatric Hospital (Licence: IL 164004632) | |
| 310400000X Assisted Living Facility (Licence: IL 164004632) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 164004632) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |