| NPI | 1083822159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ RN130045) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP2035) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |