| NPI | 1528501160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 207681) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: OK 80878) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2022-05-04 |