| NPI | 1790473585 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP1700X Registered Nurse, Perinatal (Licence: OK 207617)  | 
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: OK 207617)  | 
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK 207617)  | |
| 163WC1500X Registered Nurse, Community Health (Licence: OK 207617)  | |
| 163WH0200X Registered Nurse, Home Health (Licence: OK 207617)  | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: OK 207617)  | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: OK 207617)  | |
| Enumeration Date | 2023-04-28 | 
| Last Update Date | 2023-04-28 |