| NPI | 1417267675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IA 332736) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 16467) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-01-31 |