| NPI | 1083089106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-85664) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2025-05-03 |