| NPI | 1972909729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-4511-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0079136) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 867436) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO L58165) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: HI RN-108915) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2025-09-12 |