| NPI | 1619183217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO 196-13456) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: CO 111029) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-10-02 |