NPI | 1679294342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-307162) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
172V00000X Community Health Worker | |
Enumeration Date | 2022-09-09 |
Last Update Date | 2023-01-30 |