| NPI | 1396253993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN61210) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: ZZ 41806) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |