| NPI | 1649889502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MN 42147) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MN 1882638) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |