NPI | 1881130615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174H00000X Health Educator (Licence: CT 12-201616) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CT 246926) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |