NPI | 1568855419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NM 11127253) |
Additional Taxonomies | 175M00000X Midwife, Lay (Licence: NM 15136-R) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2022-07-21 |