| NPI | 1780282848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: NY 86041153) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY 321998) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |