| NPI | 1134555741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 11132217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R34446) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |