NPI | 1598169302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA RN164582) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MA 10117450) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |