| NPI | 1619187713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: IL 104-20977) |
| Additional Taxonomies | 174400000X Specialist (Licence: 104-20977) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-06-24 |