| NPI | 1588489314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F351230-01) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: NJ L-303166) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |