| NPI | 1609120104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD 11098943) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD R043237) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |