| NPI | 1194542696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 95419559) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-154722) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-07-31 |