| NPI | 1356913974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-305402) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2025-02-11 |