| NPI | 1700393873 |
|---|---|
| Former Name | JILL KATHLEEN SHIPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK R104990) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-06-16 |