| NPI | 1942078274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL 86118144) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND9388) |
| 174N00000X Lactation Consultant, Non-RN (Licence: FL ALPP-319150) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2025-03-28 |