| NPI | 1710540091 |
|---|---|
| Former Name | CARLY THERESE ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA 61047123) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-12-17 |