| NPI | 1043836869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 318900-1) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-161927) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-07-18 |