| NPI | 1689260077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NJ L-302692) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP07042500) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-10-22 |