| NPI | 1184992810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18614) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2014-12-15 |