| NPI | 1841536729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60321470) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: WA AP60321470) | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2020-10-20 |