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 |