| NPI | 1336648492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MN R1069231) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MN L101034) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-03-17 |