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 |