| NPI | 1174924856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.002815) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: IA L-12847) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2018-06-29 |