| NPI | 1386377752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020730) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NC 263397) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2024-08-26 |