| NPI | 1194360446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3014655) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: KY L-47082) |
| 363LF0000X Nurse Practitioner Family (Licence: TN 28172) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2024-05-27 |