| NPI | 1881415685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 57295) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NM 57295) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-11-19 |