| NPI | 1598221798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 203063) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: LA L-61021) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |