| NPI | 1922702703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA 215136) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: GA L-320492) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2026-01-19 |