| NPI | 1194504563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.005977) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-130020) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |