| NPI | 1407249279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86277803) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-56576) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-10-30 |