| NPI | 1821715970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: ZZ L-134672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704275262) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |