| NPI | 1063089613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R219138) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD L-149678) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-08-05 |