| NPI | 1174375695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 233857) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-312006) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2025-07-18 |