| NPI | 1245985886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN175180) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: GA LC000233) |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2023-03-01 |