| NPI | 1649908005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MA L-307119) |
| Additional Taxonomies | 374J00000X Doula (Licence: MA 11261) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |