| NPI | 1871834986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 001328) |
| 133V00000X Dietitian, Registered (Licence: PA DN002419) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-15 |