| NPI | 1780058818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-68741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001107298) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |