NPI | 1033242862 |
---|---|
Former Name | SANDRA PALMA CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R198259) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-07-30 |