NPI | 1639799190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L67288) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 473267) |
Enumeration Date | 2020-04-24 |
Last Update Date | 2020-04-24 |