| NPI | 1619743473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN008299) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: PA 345488) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |