| 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 |