| NPI | 1609376011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AR R68915) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AR R68915) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2022-03-12 |