| NPI | 1780822114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: KS 108-86036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-93142-032) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |