| NPI | 1104358803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: GA RN150311) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: GA RN150311) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |