| NPI | 1013777481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: LA L-309153) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 30001492) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |