| NPI | 1427656925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 60629287) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-302017) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-01-01 |