| NPI | 1356851810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F35136701) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 075422) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 127132) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 549491) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2023-02-14 |