| NPI | 1952660946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA 11174390) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CT L-24523) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2022-07-21 |