| NPI | 1477926400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-82079) |
| Additional Taxonomies | 374700000X Technician (Licence: 240131-OB12) |
| 376K00000X Nurse's Aide (Licence: AK NUAA6602) | |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |