| NPI | 1558902684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN006868) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-157524) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2022-05-05 |