| NPI | 1548527344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382280) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-56399) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-05-06 |