| NPI | 1720338114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NE 11075800) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NE 66714) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-11-19 |