| NPI | 1558090860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NY 341362) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 341362) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-08-22 |