| NPI | 1003486176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AR 1587) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MA ALLP-328340) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |