| NPI | 1760596076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 12808) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 106-23057) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 12808) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-01-20 |