| NPI | 1003202227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 60813212) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY ALPP-208931) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |