| NPI | 1962087395 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| 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 |