NPI | 1558017467 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NC 341032) |
Additional Taxonomies | 174H00000X Health Educator (Licence: NC 24589) |
Enumeration Date | 2022-03-01 |
Last Update Date | 2025-01-31 |