NPI | 1902382393 |
---|---|
Former Name | JULIE CHAMPEAU THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 008207) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2025-05-05 |