| NPI | 1013676394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SANTANA Owner 815-540-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-07-07 |