| NPI | 1013252840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA 11019787) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 4981) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2013-11-14 |