NPI | 1699204719 |
---|---|
Former Name | ALEXIYAH ROSE KOHLER-BUSSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WI 259862) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
Enumeration Date | 2017-06-12 |
Last Update Date | 2023-07-12 |