| NPI | 1689965725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NC 10912431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 172308) |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2016-02-17 |