| NPI | 1548942832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-307319) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 72099) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |