| NPI | 1043508062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-311415) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 15828) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2025-11-05 |