| NPI | 1598163560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209-012206) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 209012206) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: IL 041370468) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2023-10-16 |