| NPI | 1134596158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT96469) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L305319) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2024-06-06 |