| NPI | 1770956534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 6459611-4901) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 11135762) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-08-31 |