NPI | 1407432610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R228861) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R228861) |
Enumeration Date | 2021-03-19 |
Last Update Date | 2024-12-12 |