| NPI | 1043927320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-307281) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR 201807176RN) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-08-10 |