| NPI | 1700095205 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 197-14079) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-08-22 |