| NPI | 1679130041 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 264579)  | 
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 2645579)  | 
| Enumeration Date | 2019-05-21 | 
| Last Update Date | 2019-05-21 |