| NPI | 1265880926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 228041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R086103) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: AR L50867) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-04-12 |