NPI | 1578076659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-127057) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
174400000X Specialist | |
Enumeration Date | 2017-11-10 |
Last Update Date | 2017-11-10 |