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 |