NPI | 1124398300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007327) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-42314) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2023-04-19 |