| NPI | 1811568777 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL RN9364439)  | 
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL RN9364439)  | 
| Enumeration Date | 2021-07-01 | 
| Last Update Date | 2021-07-01 |