| NPI | 1407202963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: RI LLC00020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN53990) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |