| NPI | 1063159788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA L-301093) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA RN631467) |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2022-05-14 |