| NPI | 1699365155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: KS L-302700) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO L-302700) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-08-08 |