| NPI | 1235694126 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: IL 193200000X) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: IL 193200000X) |
| 374J00000X Doula (Licence: IL 193200000X) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |