| NPI | 1902586274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA L-163883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 632550) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA 104406309) | |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |