| NPI | 1174022057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA RN584938) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA L-108001) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |