| NPI | 1366078248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1058473) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-107787) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |