| NPI | 1750960241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012006) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: DE L-301793) |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2022-05-26 |