| NPI | 1750948394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 661-29) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-22761) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-09-10 |