NPI | 1720612211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OR 202000886RN) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR LC-LC10228395) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2023-12-27 |