| NPI | 1568106938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CT 334364) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 044203) |
| 164W00000X Licensed Practical Nurse (Licence: MA LN98615) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |