| 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 |