| 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 |