| NPI | 1679851620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AR R50179) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: AR R50179) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |