| NPI | 1376917849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0001244726) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: VA RN0001244726) |
| 251E00000X Home Health | |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2023-07-03 |