| NPI | 1174275432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R230850) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MD R230850) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |