| NPI | 1730792649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0001255770) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-12064) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |