NPI | 1700092822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: VT 0260029480) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 26.0029480) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: VT 26.0029480) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2025-03-31 |