| NPI | 1215491238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-132108) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: VA 18459) |
| 174N00000X Lactation Consultant, Non-RN (Licence: VA 282392) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |