| NPI | 1780827519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 3325872) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL 3325872) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2025-05-30 |