| NPI | 1770164295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020074) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 95144789) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: CA L-303052) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-10-17 |