| NPI | 1003583758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CT L-303617) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 1295075) |
| Enumeration Date | 2021-08-29 |
| Last Update Date | 2023-07-23 |