| NPI | 1689373060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NM L-127089) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM MT9649) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |