| NPI | 1215589189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 86050053) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |