| NPI | 1609475920 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL 9497698) | 
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 95216229) | 
| Enumeration Date | 2020-10-19 | 
| Last Update Date | 2022-06-22 |