NPI | 1518443233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9179926) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: FL 280522) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2022-09-26 |