| NPI | 1205308012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |