NPI | 1215442348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: LA P-210429) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN-144957) |
Enumeration Date | 2017-12-12 |
Last Update Date | 2021-04-01 |