| NPI | 1790392959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI L-157742) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MI 4704321895) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |