| NPI | 1871257220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: IL 337422) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 337422) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2022-07-24 |