| NPI | 1992249759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA RN2260618) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: RI RN55104) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2260618) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-14 |