NPI | 1184830085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 810255) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NV RN12460) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2021-01-05 |