| NPI | 1548946213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-216722) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MT L-58688) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-28 |