NPI | 1679062194 |
---|---|
Entity Type | Organization |
Authorized Contact | BREA CARLSON Owner, Lactation Consultant, Slp 765-267-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: IN L-127002) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2023-08-28 |