| NPI | 1114652989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-106255) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AL 1-106255) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-10-17 |