| NPI | 1174808695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: FL L-22092) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6260) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2023-01-31 |