| NPI | 1174132401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 749632) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 150362) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 749632) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: CT 150362) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-04-14 |