| 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 |