NPI | 1356875082 |
---|---|
Former Name | FAITH DEWALD HAMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA RN00098168) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00098168) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-04-19 |