NPI | 1467179473 |
---|---|
Former Name | JENNIFER RESH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-17256) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 940969) |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-10-21 |