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 |