| NPI | 1073052924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11015430) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL RN9293460) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-12-11 |