| NPI | 1477831816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: KS 53-74903-072) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: KS 13-68463-072) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2012-11-05 |