| NPI | 1144864778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NM 55425) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NM LPN-23460) |
| 225700000X Massage Therapist (Licence: NM MT9150) | |
| 225700000X Massage Therapist (Licence: FL MA51432) | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |