| NPI | 1124560677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1689) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-147666) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2019-01-29 |