| NPI | 1962165449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-316788) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NJ 25MW00003700) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2025-03-05 |