| NPI | 1811605835 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CO 316228) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 86133338) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |