NPI | 1174322788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: SD L-302049) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R040539) |
Enumeration Date | 2025-03-08 |
Last Update Date | 2025-03-08 |