| NPI | 1144487802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NY 10726339) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 04836-1) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2015-03-31 |