| NPI | 1669952289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-141903) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 846899) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |