NPI | 1629315379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NC L-152817) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 247237) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2021-03-04 |