| NPI | 1861085896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 86083846) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OK L-151823) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2022-04-01 |