| NPI | 1770011686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95127345) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-23979) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-12-14 |