| NPI | 1790322378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MO 2017021814) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MO 2017021814) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2021-03-17 |