| NPI | 1093350472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001230792) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-104779) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2020-06-11 |