| NPI | 1790241974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95010519) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: CA L-302518) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2021-12-21 |