| NPI | 1871982850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 529604) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-21233) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |