| NPI | 1629456116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10169781) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OR 11115072) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |