| NPI | 1437782638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C159017) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: IA 119603) |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-06-10 |