| NPI | 1235641515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY L-41725)  | 
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 492975-1)  | 
| Enumeration Date | 2017-10-26 | 
| Last Update Date | 2017-10-26 |