| NPI | 1770955213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: WI 226469) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127618-121) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |