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 |