| NPI | 1538896915 |
|---|---|
| Former Name | CAROLINA GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86106922) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-305659) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-12-30 |