NPI | 1700583077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OH ALPP-318888) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.08227) |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-02-08 |