| NPI | 1003472374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 133N00000X Nutritionist |
| 174N00000X Lactation Consultant, Non-RN | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |