| NPI | 1881137776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1049578) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-61999) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2021-05-07 |