| NPI | 1619792587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN208787) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: GA L-315931) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-05-18 |