NPI | 1619430105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: PA L84281) |
Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: PA L84281) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2024-02-21 |