| NPI | 1780989657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: MA 10953384) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2012-02-28 |