| NPI | 1043774094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NJ L-13938) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-13938) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |