| NPI | 1053762542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NJ L-30888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO07562600) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2016-06-26 |