| NPI | 1861354698 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN117444) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: LA L-302452) |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2026-03-31 |