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 |