NPI | 1174981922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP1030144) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1030144) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: DC L-88331) | |
Enumeration Date | 2016-02-08 |
Last Update Date | 2022-08-07 |