| NPI | 1093398505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: FL ND9639) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: FL 324440) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2022-03-05 |