| NPI | 1639614159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ RN114767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN-114767) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |