| NPI | 1912019472 |
|---|---|
| Former Name | BONNIE ELIZABETH HOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-04-16 |