| NPI | 1871162446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: ID L-302491) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ID 14795) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |