| NPI | 1104560085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-314469) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 315760) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2024-06-11 |