| NPI | 1720457617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AL ALPP-228577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-137645) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |