| NPI | 1124796651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024182559) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 0001154971) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |