| NPI | 1972198216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: GA LC000117) |
| Additional Taxonomies | 374J00000X Doula (Licence: SC 11553) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-04-22 |