| NPI | 1760921720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: FL ALPP-238443) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5202780) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-23 |