| NPI | 1689047540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-81967) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: AZ 86042252) |
| Enumeration Date | 2015-11-01 |
| Last Update Date | 2015-11-01 |