| NPI | 1043986714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 192375) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AK 124017) |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2022-05-02 |