| NPI | 1508693854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 012249) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-307442) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-06-05 |