| NPI | 1528715208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-29825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 644158) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |