| NPI | 1265818702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200342091RN) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR L-68502) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |