| 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 |