| NPI | 1669750030 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NC 11037082) | 
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR 201140669RN) | 
| Enumeration Date | 2011-08-02 | 
| Last Update Date | 2011-08-02 |