| NPI | 1629506100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 86033344) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NE ALPP-251862) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |