| NPI | 1912539792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-301181) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 000035751394) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2023-09-08 |