| NPI | 1912153750 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-34009) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1819) | 
| Enumeration Date | 2008-08-12 | 
| Last Update Date | 2021-09-27 |