| NPI | 1316153042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN45366) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: DC 103-20694) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-01-03 |