| 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 |