| NPI | 1083769624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-312688) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00022532) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-03-21 |