| NPI | 1376111682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-33583) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |