| NPI | 1457706707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MI L-35277) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 660207) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2016-04-24 |