| NPI | 1720692213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 86020270) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-156999) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2023-05-09 |