| NPI | 1053746891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 315918) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY 0005126) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |