| NPI | 1063891364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2017011597) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-47496) |
| 174N00000X Lactation Consultant, Non-RN (Licence: MO L-47496) | |
| 133V00000X Dietitian, Registered (Licence: AZ 893600) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2020-05-06 |