| NPI | 1124167119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-305240) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VT 1070000004) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-12-27 |