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 |