| NPI | 1487798260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 59779) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO 59779) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2025-01-17 |