| NPI | 1720658594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL RN2793612) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL L33261) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |