| 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 |