| NPI | 1972254258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.015253) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT L-305482) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2025-09-11 |