| NPI | 1609104959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: WI 207511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168199-030) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2014-12-12 |