| NPI | 1962271643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L007690) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-312991) |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-02-15 |