| NPI | 1790638047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: SD L-320416) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: SD 35468) |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-02-17 |