| NPI | 1952127953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: 306158) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |