NPI | 1629754676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95035947) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-308285) |
163WM0102X Registered Nurse, Maternal Newborn (Licence: CA 95224504) | |
Enumeration Date | 2023-06-26 |
Last Update Date | 2025-08-08 |