| NPI | 1104553395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: OR L-314297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 10000143) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2025-07-08 |