| NPI | 1134550890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: FL 11119829) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL MW325) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2025-05-15 |