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 |