| NPI | 1225179104 |
|---|---|
| Former Name | TARA HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-11440) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-07-17 |