| NPI | 1659841963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA CLC283630) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MA RN2320583) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |