NPI | 1689791543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IL 041296346) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 041296346) |
Enumeration Date | 2007-03-24 |
Last Update Date | 2024-10-02 |