NPI | 1184122202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: LA RN118307) |
Additional Taxonomies | 174400000X Specialist (Licence: LA RN118307) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |