| NPI | 1962030544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TN 2689) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TN L-320710) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-01-23 |