| NPI | 1871041582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 22 623969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 500122) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-19 |