| NPI | 1053074252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: KY 1122123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1122123) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |