| NPI | 1902585755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WY L-315138) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: UT DEEA2A6F9D) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-12-17 |