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 |