NPI | 1336696723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN65319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 598001) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 7173) | |
Enumeration Date | 2016-09-02 |
Last Update Date | 2016-09-02 |