| NPI | 1265535678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IL 385000368) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-04-22 |