| NPI | 1750003562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 134447) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CT 134447) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: CT 134447) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |