| NPI | 1407307721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IL 041.584606) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-100786) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2025-06-29 |