NPI | 1588120620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86035483) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-317231) |
Enumeration Date | 2019-02-13 |
Last Update Date | 2025-01-23 |