| NPI | 1033384433 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR 200141652RN)  | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 200141652RN)  | 
| Enumeration Date | 2008-04-25 | 
| Last Update Date | 2016-01-22 |