| NPI | 1861079543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CO 327498) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 1099429) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2023-09-12 |