| NPI | 1982930244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: 10975484) |
| Additional Taxonomies | 174400000X Specialist (Licence: 10975484) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2016-10-26 |