| NPI | 1245591528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: GA RN120742) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |