| NPI | 1720612211 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OR 202000886RN) | 
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR LC-LC10228395) | 
| Enumeration Date | 2020-02-24 | 
| Last Update Date | 2023-12-27 |