NPI | 1023358520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TN 19210976) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000059920) |
Enumeration Date | 2013-02-20 |
Last Update Date | 2013-09-25 |