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 |