| NPI | 1861900094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704302652) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI 4704302652) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |