| NPI | 1093345423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-28731) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 655589) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |