| NPI | 1255004867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 245676) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: LA RN129124) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2026-04-10 |