| 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 |