NPI | 1457966012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: AZ 177574) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 177574) |
Enumeration Date | 2020-09-10 |
Last Update Date | 2021-10-05 |