| NPI | 1073011953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86075410) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-107670) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-06-28 |