| NPI | 1770346009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND11041) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: FL L-309534) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |