| NPI | 1487051512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 361795) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: CA 361795) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2020-06-30 |