| NPI | 1639553142 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056013712) | 
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.008119) | 
| 174N00000X Lactation Consultant, Non-RN (Licence: 332074) | |
| Enumeration Date | 2015-07-14 | 
| Last Update Date | 2024-10-09 |