| NPI | 1679456826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 985682) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NJ 365126) |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |