| NPI | 1063025898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-305949) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86114676) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-12-16 |