| NPI | 1982101911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 1023472) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-11239) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |