NPI | 1467091108 |
---|---|
Former Name | LYDIA MCGREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-49712) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TN L-49712) |
Enumeration Date | 2019-12-28 |
Last Update Date | 2022-01-19 |