| NPI | 1518645878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9284514) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: ZZ L-130875) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |