| NPI | 1801146675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: 11287110) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002220) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2014-06-19 |