| NPI | 1447659867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA l50268) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MD L-50268) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-03-10 |