| NPI | 1013630979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30563) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA L-306493) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-08-08 |