| NPI | 1659980662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025266) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 746885) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2024-09-24 |