| NPI | 1477317642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 689553) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-27798) | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |