| NPI | 1215275540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: GA RN076589) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: GA 11095444) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2015-10-02 |