| NPI | 1750014890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-307395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0114498) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |