| NPI | 1356370860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-296920) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: IL 041-296920) |
| 133N00000X Nutritionist | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |