| NPI | 1376973248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN 3985) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2021-08-15 |