| NPI | 1992386254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 240073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN141786) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: LA L110809) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-05-22 |