| NPI | 1053800649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI 4704318023) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704318023) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |