| NPI | 1376982728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 358384-1) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |