NPI | 1851723878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO IBCLC 11194957) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0176537) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2013-08-01 |