| NPI | 1578243036 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: KS L-307455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-101579) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |