| NPI | 1649161506 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201504849RN)  | 
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-318850)  | 
| Enumeration Date | 2025-07-10 | 
| Last Update Date | 2025-07-10 |