NPI | 1255994547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-49908) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 683663) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2019-04-22 |