NPI | 1699365155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: GA L-302700) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO L-302700) |
174N00000X Lactation Consultant, Non-RN (Licence: KS L-302700) | |
Enumeration Date | 2021-01-19 |
Last Update Date | 2024-08-01 |