| NPI | 1912117409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA RN60574134) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: WA 105-22013) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-07-15 |