NPI | 1417520610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: GA L-303342) |
Additional Taxonomies | 374J00000X Doula (Licence: GA 144466BP) |
Enumeration Date | 2021-07-23 |
Last Update Date | 2021-07-23 |