| NPI | 1043685845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 625254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 625254) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |