| NPI | 1306281472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004064) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: GA LD004064) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: GA LD004064) | |
| 174N00000X Lactation Consultant, Non-RN (Licence: GA L-46587) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2014-06-04 |