NPI | 1245433341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 893760) |
Additional Taxonomies | 174400000X Specialist (Licence: CA 21800673) |
174N00000X Lactation Consultant, Non-RN (Licence: L-19266) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2023-01-06 |