| NPI | 1902443187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6720) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND6720) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL ND6720) | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: FL ND6720) | |
| 174N00000X Lactation Consultant, Non-RN (Licence: FL ALPP-307088) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |