| NPI | 1619517083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-304004) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY 313552) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2021-11-11 |