| NPI | 1568198083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-309926) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 343906) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-12-14 |