| NPI | 1841745312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.007706) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006556) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-08-01 |