| NPI | 1801777008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1009182) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-70339) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |