| NPI | 1891655940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OR L-319200) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000111035) |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |