| NPI | 1003515941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: WV 340448) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA 340448) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |