| NPI | 1609388560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7134) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 89408) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2024-06-12 |