| NPI | 1770097172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NM 10912258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R43522) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |