| NPI | 1053799387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: FL L-11398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9316706) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-10-05 |