NPI | 1457974941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: l-24746) |
Additional Taxonomies | 133N00000X Nutritionist |
133NN1002X Nutritionist, Nutrition, Education | |
Enumeration Date | 2020-05-19 |
Last Update Date | 2022-01-10 |