| NPI | 1790421980 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ 192566) | 
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ L164448) | 
| Enumeration Date | 2022-05-10 | 
| Last Update Date | 2022-05-10 |