| NPI | 1518575901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-42404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 973758) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |