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 |