| NPI | 1992478481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ L-303345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN164764) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |