| NPI | 1124234125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 521876) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 100-16210) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-10-16 |