| NPI | 1487013744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN OT2995) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 174400000X Specialist (Licence: GA OT3556) | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |