| NPI | 1568841658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MT MED-NUTR-LIC-41207) |
| Additional Taxonomies | 132700000X Dietary Manager |
| 133V00000X Dietitian, Registered | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |