| NPI | 1225519341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350913-01) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 621885-1) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2024-03-19 |