| NPI | 1033658612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 1613) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-46180) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |