| NPI | 1568112415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK L-162714) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0094466) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-162714) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-08-22 |