| NPI | 1346667862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A127913) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IA L-48699) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA 127913) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2021-02-03 |