| NPI | 1225895337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-144166) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR 10020077) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |