| NPI | 1093289639 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-152699) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37002276A) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |