| NPI | 1093201204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006088) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: PA L-163149) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2021-12-27 |