NPI | 1205350261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005252) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
133V00000X Dietitian, Registered (Licence: NV 39539-DIE-0) | |
133V00000X Dietitian, Registered (Licence: SC 1949) | |
Enumeration Date | 2017-08-01 |
Last Update Date | 2020-04-13 |