| NPI | 1699358796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: GA L-322792) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN104802) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2026-07-06 |