| NPI | 1275992596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENA KAY GRESHAM Owner 702-425-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: 10623419) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |