| NPI | 1205420536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN119297) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: LA L-11025) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |