| NPI | 1265160014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM RN-89777) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NM 59996) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |