| NPI | 1275293128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PR 1697) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-86786) |
| 133V00000X Dietitian, Registered (Licence: 1069646) | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |