| NPI | 1215512686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 20160175) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| 174N00000X Lactation Consultant, Non-RN | |
| 374J00000X Doula | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-09-20 |