| NPI | 1538859772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187076) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0024187076) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2025-01-08 |