NPI | 1003514696 |
---|---|
Other Name | STACIE MARIE MARGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-309398) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-309498) |
Enumeration Date | 2023-02-22 |
Last Update Date | 2023-02-22 |