| NPI | 1003686510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA APRIL PUTRUS Lactation Consultant 269-275-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |