| NPI | 1972198950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86026461) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO 316916) |
| 133V00000X Dietitian, Registered (Licence: OH LD.09357) | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2022-08-15 |