| NPI | 1558607309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 39259-DI-0) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L58272) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2018-02-12 |