| NPI | 1134591068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202104736RN) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: WA L-64979) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2026-06-20 |