NPI | 1083001861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041408403) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: IL L-141808) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2025-01-23 |