| NPI | 1235743048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006859) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-157318) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-12-13 |