| NPI | 1982176897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MT 102310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 217531) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-03-19 |