| NPI | 1811479199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: OR 200442030RN) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: OR 200442030RN) |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: OR 200442030RN) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |