NPI | 1407374598 |
---|---|
Former Name | CARA PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-21009) |
Additional Taxonomies | 374J00000X Doula (Licence: 5451) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2017-09-08 |