| NPI | 1093435703 |
|---|---|
| Professional Name | JACKIE KOMOROSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: GA L-130081) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |