| NPI | 1205429933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-302394) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2046581) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2021-02-13 |