| NPI | 1811639057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 315760) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA 316744) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-26 |