| NPI | 1770201931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86115695) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-163757) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-06-24 |