| NPI | 1790275352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 898896) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 174H00000X Health Educator | |
| 174N00000X Lactation Consultant, Non-RN (Licence: MI L-20319) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |