| NPI | 1003233503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5400) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-18019) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |