| NPI | 1699114231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: UT 5112458-3102) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 5112458-3102) |
| 174N00000X Lactation Consultant, Non-RN (Licence: IBCLC 11155717) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |