| NPI | 1811592900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 86059594) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 86059594) | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2022-06-13 |