| NPI | 1912770231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-307176) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86097261) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-04-15 |