| NPI | 1578703971 | 
|---|---|
| Former Name | MICHELLE KENNY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 1129005)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 167932)  | 
| Enumeration Date | 2009-02-24 | 
| Last Update Date | 2024-07-11 |