NPI | 1518200120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NJ 10522089) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO08272500) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2013-04-02 |