| NPI | 1699394254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT86318) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-308307) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-10-29 |