| NPI | 1376335737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-363) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-304099) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-06-18 |