| NPI | 1174930705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0024171833) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-301762) |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2022-03-16 |