NPI | 1033654538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MD L-108441) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP32492) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2016-12-20 |