| NPI | 1942617311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD4826) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OH 11212511) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |