NPI | 1578030888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC LRD.2119) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-135916) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2023-12-20 |