| NPI | 1982124673 |
|---|---|
| Former Name | ELIZABETH PIERCE BUSTAMANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: AZ L-124887) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-03-17 |