| NPI | 1265556021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VT 260020659) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VT 0260020659) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 0260020659) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-11-26 |