| NPI | 1679246797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MARIE CHETWYND Owner 919-480-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-09-14 |