| NPI | 1043653546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI 210378) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: VA 10926412) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |