| NPI | 1376014308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: IL 320820) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-01-23 |