| NPI | 1023733011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 280722) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ 343180) |
| 174N00000X Lactation Consultant, Non-RN (Licence: AZ 343180) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-07-14 |