NPI | 1134646771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: IL 041369052) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IL L-82468) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2017-08-24 |