| NPI | 1164970463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: ZZ 311-78094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001265636) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |