| NPI | 1912199423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID N24776) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: ID 104 21342) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |