| NPI | 1689214033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN291808) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: SC L-301563) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-06-23 |