| NPI | 1164707931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CO L-97868) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2016-10-17 |