| NPI | 1235765132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F345593-01) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: NY 682563) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |