| NPI | 1902266919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANZICEK Owner/Ibclc 248-795-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |