NPI | 1417344094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1059555) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-61867) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2015-11-16 |