| NPI | 1255685939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK 82892) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: ZZ 11290981) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |