NPI | 1962087395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MO L-302127) |
Additional Taxonomies | 133N00000X Nutritionist |
133NN1002X Nutritionist, Nutrition, Education | |
174N00000X Lactation Consultant, Non-RN | |
Enumeration Date | 2021-03-17 |
Last Update Date | 2021-03-17 |