NPI | 1144650623 |
---|---|
Former Name | BRANDI PIGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-96583) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TN 2588) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2021-12-09 |