| NPI | 1326479262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004058) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: GA LD004058) |
| 174N00000X Lactation Consultant, Non-RN (Licence: GA LD004058) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |