NPI | 1013364074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN081579) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
374J00000X Doula | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2024-02-21 |