NPI | 1235636606 |
---|---|
Former Name | EMILY C CLEAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: DC L-102668) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC 1029527) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-11 |