NPI | 1780064220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR L-96877) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 201403964RN) |
Enumeration Date | 2015-05-30 |
Last Update Date | 2023-08-24 |