| NPI | 1073050837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L22285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9616498) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2026-08-27 |