| NPI | 1043691926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN175550) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL ALPP 224299) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |