| NPI | 1225791148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO 1640647) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO 337310) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |