| NPI | 1477212769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001274088) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 193462) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |