| NPI | 1154745081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201141721RN) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: OR L-45572) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |