| NPI | 1801318407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: CO 1622281) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: MA 256412) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |