| NPI | 1659085264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN64678) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: ME L-108535) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |