| NPI | 1205259850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OK L-46736) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 0046510) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |