| NPI | 1841708211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024195144) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0001257572) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2025-10-24 |