NPI | 1609406057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-50277) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OR LC-LC-10191891) |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |