| NPI | 1104374032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY L-42212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 604614-1) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-22 |