| NPI | 1265023667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 323470) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 679236) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-05-17 |