NPI | 1942693510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0001220659) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-48918) |
Enumeration Date | 2015-03-06 |
Last Update Date | 2015-03-06 |