NPI | 1528357316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: IL 11040747) |
Additional Taxonomies | 374J00000X Doula (Licence: IL 8744) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2011-11-21 |