| NPI | 1780476457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LUNDQUIST Owner/Auth Official 208-241-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-12-09 |