| NPI | 1750796512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MA L-152632) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MA 3632) |
| 133V00000X Dietitian, Registered (Licence: MA 86013220) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2022-11-14 |