| NPI | 1124661129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164007444) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered (Licence: IL 86090210) | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| 174H00000X Health Educator | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-01-26 |