NPI | 1982183570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MA RN186926) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA L-123768) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2018-09-23 |