NPI | 1194132985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 617102-1) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 6171021) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2024-12-17 |