| NPI | 1477824712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 320321) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 1160030) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-06-26 |