NPI | 1174091938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 314151) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME163922) |
174N00000X Lactation Consultant, Non-RN | |
Enumeration Date | 2018-11-08 |
Last Update Date | 2023-10-18 |