| NPI | 1508459017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0132312) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-34582) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |