| NPI | 1326231895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 33 337605) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: NY 33 337605) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2016-07-27 |