| NPI | 1811146830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-156290) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3864) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-04-02 |