| NPI | 1063856045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: ME L-136153) |
| Additional Taxonomies | 176B00000X Midwife (Licence: ME CPM650) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-03-11 |