| NPI | 1790524726 |
|---|---|
| Former Name | SORAYA SALGADO TAYAR LICURGO DE AZEVEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374J00000X Doula |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |