| NPI | 1811353634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CT L-18598) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI 860645) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2023-10-18 |