| NPI | 1598444614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CT L-310887) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-02-01 |