| NPI | 1396338455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CT 3B95F76112) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2023-05-30 |