| NPI | 1285111443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E58794) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: CT L-10252) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |