| NPI | 1962099804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA LM764) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 286953) |
| 174N00000X Lactation Consultant, Non-RN (Licence: CA L-302379) | |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2025-03-15 |