| NPI | 1437779410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 340799-4405) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: UT 340799-3102) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 340799-8900) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2022-04-26 |