| NPI | 1962173260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L307605) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 331696) |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2022-08-12 |