| NPI | 1417263955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 940041) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NC L-42445) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2018-03-17 |