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 |