| NPI | 1992395933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-17248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 660740) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2023-02-01 |