| NPI | 1922774751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2011041352) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-124884) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |