| NPI | 1639439664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NC 11146077) |
| Additional Taxonomies | 374J00000X Doula (Licence: NC 8798) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |