| NPI | 1922607134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-308180) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2023-02-05 |