NPI | 1437776309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2104011) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-304060) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2021-08-24 |