| NPI | 1922703271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.008778) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 163W00000X Registered Nurse (Licence: IL 041.389649) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-05-04 |