| NPI | 1689281966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: RI 52972) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA 326198) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |