| NPI | 1043994502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-310856) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 70384) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |