NPI | 1336610211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-23776) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: WA NU60418972) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |