| NPI | 1649661430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OH L-58094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 008993) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2015-02-16 |