| NPI | 1124517065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: LA 11165697) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: LA RN106612) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |