NPI | 1801382569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO L-109097) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0150155) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2018-07-05 |