| NPI | 1528382207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 209004249) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209004249) |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209004249) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2019-05-09 |