| NPI | 1235607995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27625) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: SC L-35546) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2023-07-24 |