| NPI | 1336896075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86022373) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO L-86910) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |