| NPI | 1760894653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: IBCLC L-82067) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MA ALPP-204105) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2015-11-03 |