| NPI | 1932108347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AK 40) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AK L-45481) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-07-13 |