| NPI | 1083387344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: LA L-164332) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 30002041) |
| Enumeration Date | 2021-07-31 |
| Last Update Date | 2021-07-31 |