NPI | 1588389894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023047) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 563455) |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-02-06 |