| NPI | 1538786405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.494743) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: IL 041.494743) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2025-01-22 |