| NPI | 1891069969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: NY 11166175) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 219889-1) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |