| NPI | 1780199075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: ALPP-252818) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |