NPI | 1134699440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA CLC78333) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MA RN2268347) |
Enumeration Date | 2018-11-29 |
Last Update Date | 2018-11-29 |