NPI | 1356816565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-311161) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.007516) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2023-08-28 |