| NPI | 1871091975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-122267) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-02-22 |