| NPI | 1063042406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NJ L30090) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NJ 26nr07488300) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 427573) | |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |