| NPI | 1477906089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61465536) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-84672) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2024-01-11 |