| NPI | 1891969770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996623-NP) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-25669) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-06-23 |