| NPI | 1417120007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 921681) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND7399) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CO 921681) | |
| 174N00000X Lactation Consultant, Non-RN (Licence: CO 11190656) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2021-07-05 |