| NPI | 1710729090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL RN9609151) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 778788) |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |