NPI | 1720238629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OR LC-LC-10219187) |
Additional Taxonomies | 176B00000X Midwife (Licence: OR 10124944) |
176B00000X Midwife (Licence: OR 07110001) | |
Enumeration Date | 2008-09-26 |
Last Update Date | 2022-04-09 |