| NPI | 1629823620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MS L-311968) |
| Additional Taxonomies | 374J00000X Doula (Licence: MS 1484164) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2026-01-21 |