| NPI | 1225572258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-319171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005036) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2025-08-25 |