| NPI | 1588144935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: HI 180-LD) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-125869) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-28 |