| NPI | 1558627141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f382246) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0100260-C-NP) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: ZZ L-15798) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11016172) | |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2023-03-31 |