| NPI | 1023547494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN LPN56646) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |