| 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 |