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 |