NPI | 1164290201 |
---|---|
Former Name | PRINCESS ELIZ SEGALA CERVANTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-314464) |
Enumeration Date | 2023-12-18 |
Last Update Date | 2023-12-18 |