| NPI | 1629955034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-317366) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA RN61327311) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |