| NPI | 1295240885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 262087) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ L-101057) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2021-08-09 |