| NPI | 1295486991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-319114) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.512580) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2026-05-04 |