| NPI | 1255733432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: SC 79127) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 4807) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2019-06-17 |