| NPI | 1093431207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R31814) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R048210) |
| 163W00000X Registered Nurse (Licence: MN 2405289) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: MN L-136471) | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |