| NPI | 1235780990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-655) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: ID L-62086) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |