| NPI | 1932805512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NC 1102895) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L002984) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |