| NPI | 1225915952 |
|---|---|
| Former Name | CATHERINE DALLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2013036530) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MO L-301081) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |