| NPI | 1801433073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86032236) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA l-130014) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |