| NPI | 1114703659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351220-01) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY L-313778) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 705192-01) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-03-09 |