| NPI | 1669837829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: ID L-86712) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: ID L-86712) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |