| NPI | 1760115901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: LA 22098) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 20180342) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |