| NPI | 1942085410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOORE Authorized Member 352-514-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |