| NPI | 1386026573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN247812) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: GA RN247812) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-04-09 |