NPI | 1346623915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NJ 940264) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NJ 11146140) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2015-07-01 |