| NPI | 1972397313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 613128) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |