| NPI | 1194120469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA 19210911) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-17076) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2024-09-16 |