| NPI | 1366839532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IL L-45569) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IL 041.361121) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |