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 |