| NPI | 1669283636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ 240401) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 362562) |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-21 |