NPI | 1386146827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1043908) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 283972) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-02-28 |