NPI | 1043095540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: IL 041.486975) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: IL L-306282) |
Enumeration Date | 2023-08-31 |
Last Update Date | 2023-10-26 |