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 |