| NPI | 1558796441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.003605) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IL 049.158529) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |