| NPI | 1912692930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: OR LC-LC-10223751) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR THW000003394) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2025-06-12 |