| NPI | 1871240903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 37766) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TN 231223) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-12-09 |