NPI | 1407052426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-42060) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: NC 6737) | |
101YP2500X Counselor, Professional (Licence: PA PC007046) | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2018-09-05 |