| NPI | 1235467721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 117057-030) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WI 10421156) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |