| NPI | 1356760391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L56279) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 928270) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2016-12-16 |