| NPI | 1710642004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: WI L303274) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WI 20100020) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-08-25 |