| NPI | 1215221627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA 11094715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN316283L) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |