| NPI | 1952586497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 047554) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: ALPP-34185) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2025-01-27 |