| NPI | 1154043602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 89069) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-311772) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-07-19 |