| NPI | 1386933802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-64562) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14790) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2015-05-14 |