| NPI | 1104337179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0001260026) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: VA 0001260026) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |