| NPI | 1033978440 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OR 095000178RN) | 
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR L-29046) | 
| Enumeration Date | 2024-03-18 | 
| Last Update Date | 2024-03-18 |