| NPI | 1790067353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041396274) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 041396274) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |