| NPI | 1063885903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8745) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ RN168695) |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2022-06-15 |