| NPI | 1730975343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 322556) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AZ RN195009) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-05-22 |