| NPI | 1336908979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421691-01) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY L-121571) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-05-22 |