| NPI | 1629774146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN007706) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-305493) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-05-11 |