| NPI | 1083372296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: TN 257121) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TN 257121) |
| 163WM0102X Registered Nurse Maternal Newborn (Licence: TN 257121) | |
| Enumeration Date | 2021-12-05 |
| Last Update Date | 2022-05-13 |