| 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 |