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 |