NPI | 1598450991 |
---|---|
Former Name | JENNIFER L. WILLIAMS |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IL 041351296) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-04-10 |