| NPI | 1871024646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 202275) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK L-108453) |
| 163W00000X Registered Nurse (Licence: OK 0086088) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-01-07 |