| NPI | 1407339062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: NY 620280) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 340394) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |