| NPI | 1053980631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-72574) |
| Additional Taxonomies | 171400000X |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-02-06 |