| NPI | 1083049100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE ELIZABETH KMAK RN, Bsn, Ibclc 720-219-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |