| NPI | 1215400536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LDD10224136) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-144034) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2022-11-16 |