| NPI | 1215273487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX5993) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2023-02-23 |